Katherine Emge, Trial Secretary
924 S. CALIBURN Drive
Nixa, MO 65714
ENTRY METHOD: FIRST RECEIVED
ENTRIES OPEN on Monday, April 20, 2015 at 8:00 AM CST at the Trial Secretary’s address.
All entries received before this date will be returned. Overnight or certified mail must be sent
with the “No Signature Required” waiver signed.
ENTRIES CLOSE on Wednesday, June 3, 2015 at 6:00 PM CST after which time entries
cannot be accepted, cancelled, altered, or substituted except as provided for in Chapter 11,
Section 6 of the Rules Applying to Dog Shows. Envelopes/ transactions containing entries
for more than the ten (10) dog maximum and/or entries received prior to the opening date
shall be treated as an invalid entry and shall be returned to the sender.
Accepting ONLINE Entries through LabTestedOnline.com
PREMIUM LIST
AKC All-Breed AGILITY TRIALS
Events #2015711501, # 2015711502, #2015711503
This Event is Accepting Entries for Mixed Breed Dogs
Enrolled in the AKC Canine Partners Program SM
Dog Agility Association of the Ozarks
(Licensed by the American Kennel Club)
Friday, June 19, 2015
Saturday, June 20, 2015
Sunday, June 21, 2015
Lake Country Youth Soccer Arena
2334 E Pythian Street, Springfield, MO 65802
ENTRY LIMITS - 330 runs per day
INDOORS – SOCCER TURF - AIR CONDITIONED
TWO RINGS (run alternating) Ring 1 is 110’ X 85’ & Ring 2 is 110’ X 80’
Trial Hours: Friday, Saturday & Sunday – 7:00 am to 7:00 pm CST
Judge: Rod Ramsell #92527, Oakdale, MN All Classes All Days
CERTIFICATION
Permission is granted by the American Kennel Club for the holding
of this event under American Kennel Club rules and regulations.
James P. Crowley, Secretary
OFFICERS OF THE DOG AGILITY ASSOCIATION OF THE OZARKS
President……………………………………………………………….………Vicky Sullivan
Vice President…………………………………………………………….…..Deana Mitchell
Secretary……….…………………..905 Breann Court, Nixa, MO 65714..….Janet Davis
Treasurer…………………………………………………………………….Sharon Williams
DAAO BOARD OF DIRECTORS
Vicky Sullivan, Deana Mitchell, Sharon Williams, Janet Davis, Carol Baron,
Valeri Wright, Barb Stockard
TRIAL CHAIRPERSON
Carol Baron
2558 S Franklin
Springfield, MO 65807
(417) 343-7507
[email protected]
TRIAL SECRETARY
Katherine Emge
924 S CALIBURN Drive
Nixa, MO 65714
(417) 536-1857
[email protected]
TRIAL COMMITTEE
Carol Baron, Katherine Emge, Barb Stockard, Deana Mitchell,
Sharon Williams, Renee Wilson, Mindy Hoy
JUDGE ASSIGNMENT
Rod Ramsell # 92527
3957 Gresham Ct N
Oakdale, MN 55128
Friday: All JWW, Standard and FAST Classes
Saturday: All JWW and Standard Classes
Sunday: All JWW and Standard Classes
VETERINARIAN ON CALL
Friday: Carlson Pet Hospital, 311 W. Sunshine
Springfield, MO 65807, 417-831-2666
Saturday and Sunday:
Emergency Veterinary Clinic of
Southwest Missouri
400 S. Glenstone Ave.
Springfield, MO 65802, 417-890-1600
:
Exhibitors should follow their veterinarian’s recommendations to assure their
dogs are free of internal and external parasites, any communicable diseases,
and have appropriate vaccinations.
EMERGENCY SERVICES
Springfield, MO Fire/Ambulance/Police 911
CLASSES OFFERED
STANDARD
STANDARD
PREFERRED
JWW
JWW
PREFERRED
FAST
Novice A/B
Novice
Novice A/B
Novice
All Levels
Regular &
Open
Open
Open
Open
Excellent &
Excellent/Master Excellent/Master Excellent/Master Preferred
Friday Only
Master
Please consult the AKC Regulations for Agility Trials for a complete description and eligibility for
entry into these classes. The exhibitor is fully responsible for entering the dog in the correct
class(es)/height divisions. Dogs running in a lower height division than they are eligible for will
be eliminated.
JUDGING TIMES**** RUNNING ORDER *****CLASSES
CLASSES WILL BE RUN SMALL TO TALL ALL DAYS, ALTERNATING RINGS
FRIDAY
Judging begins at 8:00 AM
with FAST In RING 1
RING 1: All FAST Classes
(Excellent/Master, Open, Novice)
RING 2: Excellent/ Master JWW
RING 1: Excellent/ Master Standard
RING 2: Open JWW
RING 1: Open Standard
RING 2: Novice JWW
RING 1: Novice Standard
SATURDAY and SUNDAY
Judging begins at 8:00 AM with Master
& Excellent JWW in Ring 2
RING 2: Excellent/ Master JWW
RING 1: Excellent/ Master Standard
RING 2: Open JWW
RING 1: Open Standard
RING 2: Novice JWW
RING 1: Novice Standard
HEIGHT DIVISIONS
REGULAR
PREFERRED
HEIGHT AT WITHERS
Handlers may opt to
run their dog in a
higher height division.
Handlers must run
their dog in their
proper eligible height.
Owners are responsible for entering their dog in the
proper height division.
8”
4”
For dogs 11 inches
8” and under at the withers
12”
8”
For dogs 14 inches and under at the withers
16”
12”
For dogs 18 inches and under at the withers
20”
16”
For dogs 22 inches and under at the withers
24”
20”
For dogs over 22 inches at the withers
26”
n/a
Dogs may be entered at this height at their owner’s
discretion
MEASURING and HEIGHT CARD INFORMATION
Effective January 1, 2010, exhibitors are no longer required to provide proof to Trial Secretaries
that their dog has a valid jump height card as part of the check-in process. Furthermore, this
change eliminates the need for a copy of the jump height card to be submitted with an entry form. Dogs
without a valid Jump Height Card/Form may still compete; but they must be measured/wicketed by the
Judge of Record PRIOR to running in their class and this measurement will be valid for that weekend of
trials only. The exception to this requirement is a dog entered in the 24” or 26” height division. However,
if a Volunteer Measuring Official (VMO) or an Agility Field Rep is present; ALL dogs without a valid
Jump Height Card/Form must be measured at some time during the trial or cluster of trials. This does not
preclude having the dog wicketed by the Judge of Record if the VMO or Rep is not available to measure
the dog before its first run of the trial or cluster of trials. It is the exhibitor’s responsibility to have their
dog measured prior to running and failure to do so will result in the cancellation of any qualifying scores.
NEW Simplified Jump Height Card Process
When filling out the entry form, there is a new section at the top of the form for exhibitors to
designate whether your dog needs to be officially measured. Please check the box so that the
Trial Secretary knows whether to include your dog on the Dogs To Be Measured List. It is no
longer required that you submit a copy of your dog’s jump height card with your entry form or
show it during day of show check-in.
DOGS ELIGIBLE TO ENTER
This trial is open to all dogs over the age of 15 months that are registered with the American
Kennel Club or are registerable breeds that have obtained an AKC PAL/ILP number. Dogs
should be physically sound. Dogs that are blind or deaf shall not be eligible, and neither are
bitches in season, aggressive dogs, or dogs suffering from any deformity, injury, or illness which
may affect the dog’s physical or mental performance. No dog shall compete if it is taped or
bandaged in any way or has anything attached to it for medical purposes. Refer to Chapter 2 of
the Registration and Discipline Rules for the listing of registerable breeds that may participate.
Puppies under 4 months of age are strictly prohibited from the trial grounds.
OBSTACLES AND RING CONDITIONS
Obstacles will meet the specifications for obstacles in the current edition of the Regulations for
Agility Trials. All classes will take place indoors, under cover on soccer turf. Ring size is 80 feet
X 110 feet (JWW) and 85 feet X 110 feet (FAST and Standard). We will be using electronic
timers, and fully rubberized contacts and a rubberized table.
ENTRY FEES PER DAY
First entry of each dog (includes a $3.50 AKC recording fee)……...…………….$23.00
Second entry of same dog (includes a $3.00 AKC recording fee)……………….$13.00
Third entry of same dog (includes a $3.00 AKC recording fee)……………..…...$13.00
Junior Handler registered in AKC Jr Handler program, first entry (includes $3.50 AKC
recording fee)…...………………………………………………………………..........$10.00
Junior Hander (as above) second or third entry (includes $3.00 recording fee)....$5.00
If you would like to know the status of your entry prior to the issuance of the judging schedule upon closing,
please enclose a self-addressed, stamped envelope or postcard along with your entry. E-mail
confirmations will be sent to those listing a legible e-mail address on the entry form.
Mail entry forms and fees (opens Monday, April 20, 2015 at 8 AM CST) to: Katherine Emge, Trial
Secretary, 924 S. CALIBURN Drive, Nixa, MO 65714. Please make checks payable to DAAO. No
entries will be accepted by phone or fax. Express mail entries must include the signature waiver allowing
them to be left at the secretary’s address.
Inquiries may be directed to Katherine Emge at [email protected]. No entry shall be made and
no entry shall be accepted which specifies any conditions as to its acceptance.
Illegible entries will not be processed and will be returned to the exhibitor. Returned checks do not constitute a valid
entry and the Trial Secretary will add a $25.00 collection fee to the amount of each returned check.
Owners are responsible for errors in making out entry forms, whoever may have made such errors. No entry will be
refunded in the event of such errors or cancellation of entries after the published closing date. Errors in entries made
by the exhibitor cannot be corrected after the closing date. No refunds for duplicate entries. No refunds will be issued
for overpayment of less than $12.
MOVE UPS will be accepted for the first day of the trial until Monday, June 15, 2015 at 6 PM CST. Please submit in
writing (e-mail is fine) to Katherine Emge at [email protected] . Day to day move ups will be accepted up
to ½ hour after the last class of the day is completed. Move Up is not confirmed until exhibitor
receives a return confirmation from the trial secretary.
Entries must be made on Official AKC entry forms or copies and must include the signed Agreement and Rules.
Junior Handlers must enter their JH# and complete back of form. Include only AKC titles on entries.
All owners of mixed breed dogs must first obtain an AKC Canine Partners listing number before they may enter an
AKC Agility event. The dog’s breed name should be entered as “All American Dog”. The dog’s listing number must be
entered on the entry form and “AKC No.” checked.
Online Entries
This trial is accepting online entries through www.labtestedonline.com. Please visit their
website to register, and for instructions and rules for entering online prior to opening date.
During the first 48 hours after opening, the initial limit of entries designated as either online or
paper will be as follows: Saturday & Sunday- 66 runs online (20%), 264 runs paper (80%) each
day. If either form of entry has not filled at the end of the 48 hour time period, the club reserves
the right to decrease or increase either one accordingly.
“After Closing” Waiting List
A waiting list (30 runs per trial) will be maintained for these trials once they have closed on June
3, 2015 at 6 PM CST. The waiting list will be active until its deadline — Monday, June 15, 2015
at 6:00 PM CST. Any dogs that are entered in these trials at closing and pulled before the
waiting list deadline will be replaced, if possible, by dogs in order on the waiting list, and the
exhibitor will be reimbursed in full. If a dog is pulled but cannot be replaced, the exhibitor
will not receive a refund and the dog will be considered absent for the trials. Entry fees for
dogs on the waiting list that do not get into the trial by the waiting list closing date will be
refunded in full.
COURSE WALK-THROUGHS AND WARM-UP INFORMATION
Handlers in all classes are permitted to walk the course, without a dog, during a walk-through
period held prior to the start of the class. The walk-through is restricted to handlers entered in
that class only. Handlers with multiple dogs, at events with multiple rings may request to walk
with a height group other than the one their dog is entered in if a conflict is imminent.
A warm-up area, consisting of a regulation agility jump, will be provided for exhibitors. The
warm-up area is to be used exclusively for warming up the dog and not for training or relieving of
the dog.
RIBBONS, AWARDS, AND PRIZES
Ribbons will be awarded in each jump height division in each class as follows:
First Place……………………………………...……………...……………………….………..…….Blue
Second Place….…………...……………………..…………………………………………………..Red
Third Place………………….…………………..…………………………………...……………...Yellow
Fourth Place………………………………………………......…………………………..…………White
Qualifying Score……………………………………………………..……………...…..……Dark Green
A MACH or PACH rosette and decorated MACH or PACH bar will be awarded to all dog and
handler teams that attain either a MACH or PACH title at these trials. A PAX rosette will be
awarded to any dog finishing a PAX title at these trials. Please notify Carol Baron, trial chair at
[email protected] if you think you may be completing a MACH, PACH or PAX at our trials.
A new title rosette will be awarded to any dog finishing a title at these trials. Dogs qualifying in
both Master Standard and Master JWW at the same trial will receive a “Double-Q” ribbon or QQ
pin. Dogs Qualifying in Master FAST, Master JWW, and Master Standard will be awarded a
“Triple-Q” ribbon.
All exhibitors should obtain a copy of the Regulations for Agility Trials by contacting the
American Kennel Club, 5580 Centerview Dr., Raleigh, NC 27606-3390, by phone (919) 2339767, by email at [email protected], or on their website at www.akc.org.
NOTICE – SPRINGFIELD CITY ORDINANCE REGARDING Pit Bull Terriers
The City of Springfield, MO has an ordinance pertaining to Pit Bulls. Any owner of a pit bull
(American Pit Bull Terrier, American Staffordshire Terrier, Staffordshire Bull Terrier) or any dog
exhibiting these distinguishing characteristics will need to abide by this ordinance. When not
showing your dog(s) you will need to have your dog(s) crated. When it is off show site it will
have to have be transported in a crate in your vehicle and muzzled when in public. Your dog(s)
will NOT have to be muzzled when on our private show site.
NOTICE TO EXHIBITORS
SAFETY, BEHAVIOR and LIABILITY
The safety of the dog is our primary concern. By entering this trial, exhibitors acknowledge that
they are familiar with the rules and regulations of this sport, and that their dogs are familiar with
and able to perform all obstacles safely.
It is expressly understood that exhibitors alone are responsible for the behavior of their dogs
and/or children. Any exhibitor whose dogs and/or children create an unnecessary disturbance or
repeatedly engage in unsafe or disruptive behavior may, at the discretion of the trial committee,
be asked to leave the show site. In such case, no refund of any fees paid will be made. DAAO
and its agents, employees, etc., will assume no responsibilities for any loss, damage or injury
sustained by exhibitors or handlers, or to any of their dogs or property and further assumes no
responsibility for injury to children. DAAO reserves the right to decline entries for cause and
may remove any dog on account of aggression. No one shall have any recourse or claim
against DAAO or any official thereof.
Dogs under 4 months of age are not permitted on the show grounds of AKC Agility Trials.
Exhibitors should follow their veterinarians’ recommendation to assure their dogs are free of
internal and external parasites and any communicable diseases and have appropriate
vaccinations.
All dogs must be on leash or crated at all times when on trial grounds except when in the
designated warm-up area or competing on the course. NO EXCEPTIONS!
REFUNDS
No entry fee will be refunded if the trial cannot open or be completed by reason of riots, civil
disturbances, fire, an act of God, public emergency, act of a public enemy, or any other cause
beyond the control of the organizing committee. No entry fee will be refunded in the event a dog
is absent, disqualified, excused, or barred from competition by the action of the Trial Committee.
Bitches in season are not permitted to compete in Agility Trials. As such, the club will
refund all but $5 per day of the entry fee paid for bitches unable to compete for this
reason. The Trial Secretary must receive written notification of such a claim for refund by letter
hand-delivered, e-mailed, or postmarked before the trial commences, and a veterinarian’s letter
must be provided within one week of the trial.
RINGSIDE
Dogs may arrive any time prior to judging, if they have a valid copy of their jump height card.
Otherwise, they must be available for measuring prior to the start of their class.
Judges are not required to wait for dogs. The Owner of each dog is solely responsible for
having it ready at ringside when it is to be judged. The Club has no responsibility for providing
service through a public address system or stewards or runners for the purpose of calling or
locating dogs that are not brought into the ring when required.
VENDORS
If you would like a vendor space, please contact Carol J. Baron at 417-343-7507 or
[email protected] for more information.
This club does not agree to arbitrate claims as set forth on the Official AKC
Entry Form for this event.
ADDITIONAL SITE INFORMATION
Crating space will be available on a limited basis. Crates may be left overnight; however
DAAO and Lake Country Youth Soccer will not be responsible for any lost or damaged items left
at the show site. Due to limited crating space, no exercise pens are permitted. Exhibitors
are responsible for cleaning up after their dog(s). Any exhibitor failing to do so may be excused
without benefit of refund if the Trial Committee deems the exhibitor to be in violation of this
requirement. Cleaning supplies and disposal sites will be available at various locations
around the show grounds.
*NO DOGS ARE PERMITTED ON THE SOCCER FIELDS AT ANY TIME*
A full service food concession is not available on the site. There are various restaurants and
fast food vendors within a very short driving distance.
We will be catering lunch every day for our workers, so plan to help out
as a trial volunteer and you will be fed very well!
HOTEL INFORMATION
These hotels have graciously agreed to accept our well-mannered dogs. A pet deposit
may be required. Please check with hotels for policies and restrictions.
The following two La Quinta Inn and Suites are offering exhibitors a special rate of $89.00
per night (mention DAAO agility trial when booking). Rates are available until 2 weeks
prior to arrival (6/05/15). All rooms based on availability, so book early!
La Quinta Inn and Suites- 2535 S Campbell, Springfield, MO 65707, 417-8906060 (6 miles from trial site)
La Quinta Inn and Suites-2445 N Airport Plaza Ave., Springfield, MO 65703,
417-447-4466 (8.5 miles from trial site)
Other Hotels: Please check with each hotel regarding their pet policy or pet fee/charge.




Arbor (formerly Crystal) Suites, 1260 E. Independence, Springfield, MO, 417886-5090
Days Inn Battlefield/Hwy 65 3260 E. Montclair, Springfield, MO, 417-882-8494
Drury Inn and Suites 2715 N Glenstone, Springfield, MO 417-863-8400
Greenstay Hotel and Suites 222 N Ingram Springfield, MO 417-863-1440
RV PARKING
Due to Springfield City Regulations, we are unable to offer overnight RV parking at the
trial site at this time. There is ample space for daytime RV parking.
Area RV Parks:
KOA Springfield/Route 66 - 5775 W Farm Road 140, Springfield, MO 65802
417-831-3645 (mention agility trial for a 10% discount). 10 miles to show site
Silver Bell RV Park- 7765 E US Hwy 60, Rogersville, MO 417-229-5511
10 miles to show site
RV Park Strafford-313 E. Old Route 66, Strafford, MO 65757 417-736-3382
15 miles to show site
DIRECTIONS TO THE TRIAL SITE
Lake Country Youth Soccer
2334 E. Pythian
Springfield, MO 65802
From the North: Take Hwy 65 South to Chestnut Expressway exit. Go west on the
Chestnut Expy to N. Patterson Ave. Take Patterson Ave. North. The Soccer Arena is
on your left as you approach E. Pythian Street
From the South: Take Hwy 65 North to Chestnut Expressway exit. Go west on the
Chestnut Expy to N. Patterson Ave. Take Patterson Ave. North. The Soccer Arena is
on your left as you approach E. Pythian St.
From the West: Approach Springfield on Interstate 44 from Joplin. Exit on Glenstone
Avenue and go South. Stay on Glenstone and turn left (East) on Chestnut Expy. Turn
left on Pythian St. The soccer arena will be on your right.
From the East: Approach Springfield on Interstate 44. Exit on Glenstone Avenue and
go South. Stay on Glenstone and turn left (East) on Chestnut Expy. Turn left on
Pythian St. The soccer arena will be on your right.
JOIN
DAAO
FOR ANOTHER
2 WEEKENDS OF AKC
AGILITY
AUGUST 14 - 16, 2015
JUDGES: CRAIG JOSLING & SHARON WILLIAMS
INDOORS ON TURF AT LAKE COUNTRY SOCCER
AND
SEPTEMBER 18 - 20, 2015
JUDGE: TOM SLATTERY
INDOORS ON PACKED DIRT
FMI:WWW.DOGAGILITYASSOCIATIONOFTHEOZARKS.ORG
AGILITY TRIAL MOVE-UP FORM
(Do not send this form to AKC. Send/give it to the Trial Secretary)
USE THIS FORM TO MOVE UP TO A HIGHER AGILITY CLASS ONLY
Dogs shall be moved up to a higher class at the request of the owner, as a result of the dog
qualifying for an agility title. The request for moving up must be made to the Trial Secretary
not later than the day preceding the event. All move-up entries are subject to availability of
the class and payment of any difference in entry fee. It is the option of the club to allow moveups. Dogs so moved-up will be entered at the end of the running order. Refer to Chapter 1,
Section 20 of the Regulations for Agility Trials for additional move-up requirements.
Dog Agility Association of the Ozarks
Date – June 19 June 20 June 21, 2105 (circle)
Breed: ____________________________________________ Sex: __________
_________________________________________________________________
Dog’s AKC Registered Name
Dog’s AKC #
Move Entry to:
Agility Class: (Circle One)
Jump Height Division: (Circle One)
Std Class: Novice B Open Excellent Master
8” 12” 16” 20” 24” 26”
JWW: Novice B Open Excellent Master
8” 12” 16” 20” 24” 26”
Preferred Std: Open Excellent Master
4” 8” 12” 16” 20”
Preferred JWW: Open Excellent Master
4” 8” 12” 16” 20”
FAST Class: Novice B Open Excellent Master
8” 12” 16” 20” 24” 26”
Owners Name: ____________________________________________________
Handlers Name:___________________________________________________
Signature of owner or agent
Duly authorized to make this entry: ___________________________________
Signature of Trial Secretary
If Approved: _________________________________________________
Date
Time Received: _____________________
VOLUNTEERS
We love our volunteers! If you would like to volunteer to
work at the trial, please e-mail the following information to Sharon Williams
at [email protected], OR you may send this form with your entry form.
In addition, you may also sign up directly at the following link:
http://tinyurl.com/n49myk7 (this link will become inactive 48 hours prior to
trial on 6/17/2015)
Volunteer workers will be given raffle tickets for wonderful prizes, be
treated to a catered lunch on Friday, Saturday, Sunday, and have access
to wonderful snacks, and drinks, water, etc… throughout the trial . We
will also be giving away a $100 cash prize to one lucky worker in the
raffle at this trial!
Name:
Address:
City:
St:
Home Phone:
Cell
Zip:
Work
Phone:
Email:
Phone:
Days available
Fri
Sat
Sun
to help
What class and jump height do you run in?
Areas that you would be interested in volunteering?
Scribe
Timer
Bar setter
Sheet runner
Chute
Awards
Assistant Scribe
Gate Steward
Leash runner
Ring Steward
Course Build
Set up/tear down
THANK YOU!
OFFICIAL AMERICAN KENNEL CLUB AGILITY ENTRY FORM
AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org.
DOG AGILITY ASSOCIATION OF THE OZARKS
June 19-21, 2015
Mail Entries to: Katherine Emge
924 S. CALIBURN DRIVE, Nixa, MO 65714
Make checks payable to Dog Agility Association of the Ozarks (DAAO)
OPENS: APRIL 20, 2015
Friday 06/19/2015
Saturday 06/20/2015
Sunday 06/21/2015
□
□
□
STD
STD
STD
CLOSES : JUNE 3, 2015
□
□
□
□
JWW
JWW
JWW
FAST
First entry $23 Second entry $13 Third entry $13 (1 class=$23, 2 classes=$36, 3 classes=$49)
ENTRY FEE ENCLOSED
IMPORTANT: Carefully read instructions before filling out!
Choose Either Regular OR Preferred Classes
Check one jump height, and check class selections :: Only one selection per class (STD, JWW, FAST, T2B)
□
8”
STD
JWW
FAST
REGULAR Classes
□
12”
□
16”
□
□
20” 24”
□
26”
□Nov A □Nov B □Open □Exc □Master
□Nov A □Nov B □Open □Exc □Master
□Nov A □Nov B □Open □Exc □Master
Non-Regular Classes
International Sweepstakes
This Dog Needs To Be Measured
BREED
PREFERRED Classes
□Yes □No
□
□
4”
8”
□
12”
□
□
16”
20”
□NovP □OpenP □ExcP □MasterP
JWW □NovP □OpenP □ExcP □MasterP
FAST □NovP □OpenP □ExcP □MasterP
STD
□STD □JWW
Select:
□14” □18” □26”
SEX
HEIGHT AT WITHERS
VARIETY
CALL NAME
□
ILP NO. □
PAL NO.
□
FOREIGN REG. NO & COUNTRY
BREEDER
Enter Complete Registration # below
□
DATE OF BIRTH
PLACE OF BIRTH (LIST COUNTRY)
INSTRUCTIONS
Handlers may opt to enter in a higher height division for all Regular titling classes, but not in a division lower than their proper height
division. Dogs entered in the Preferred classes must compete at the required jump height and may not compete in a jump height
division higher or lower than their proper height division.
All dogs that have not been officially measured for an Agility Jump Height Card may still compete; however, they must be measured by
a Judge of record, an Agility Field Representative, or a Volunteer Measuring Official, prior to running. If measured by the Judge of
record, that measurement will be valid for this trial or back-to-back trials only. If a measurement is necessary, it is the exhibitor's
responsibility to have their dog(s) measured prior to running.
Dogs listed in the AKC Canine PartnersSM program may be eligible to enter all-breed AKC agility trials at the club’s option. These dogs
should be listed as All American Dog and must include their AKC number on the entry form and check the AKC No. box.
SIGNATURE of owner or his agent duly authorized to make this entry.
DAM
SIGN HERE
ACTUAL OWNERS
� NEW ADDRESS
X ______________________________________________________
Telephone Number:
□New Email
Email Address:
CITY, STATE ZIP + 4
HANDLER
I (WE) AGREE THAT ANY CAUSE OF ACTION, CONTROVERSY OR CLAIM ARISING OUT OF OR RELATED TO THE ENTRY,
EXHIBITION OR ATTENDANCE AT THE EVENT BETWEEN THE AKC AND THE EVENT-GIVING CLUB (UNLESS OTHERWISE
STATED IN ITS PREMIUM LIST) AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTREPRETATION AND EFFECT
OF THIS AGREEMENT SHALL BE SETTLED BY ARBITRATION PURSUANT TO THE APPLICABLE RULES OF THE AMERICAN
ARBITRATION ASSOCIATION. HOWEVER, PRIOR TO ARBITRATION ALL APPLICABLE AKC BYLAWS, RULES, REGULATIONS
AND PROCEDURES MUST FIRST BE FOLLOWED AS SET FORTH IN THE AKC CHARTER AND BYLAWS, RULES,
REGULATIONS, PUBLISHED POLICIES AND GUIDELINES.
I CERTIFY that I am the actual owner of the dog, or that I am the duly authorized agent of the actual owner whose name I have entered
above. In consideration of the acceptance of this entry, I (we) agree to abide by the rules and regulations of the American Kennel Club in
effect at the time of this event, and by any additional rules and regulations appearing in the premium list for this event, and further agree
to be bound by the “Agreement” printed on the reverse side of this entry form. I (we) certify and represent that the dog entered is not a
hazard to persons or other dogs. This entry is submitted for acceptance on the forgoing representation and agreement. I (we) agree to
conduct myself (ourselves) in accordance with all such Rules and Regulations (including all provisions applying to discipline) and to
abide by any decisions made in accord with them.
SIRE
OWNERS ADDRESS
Additionally, I (we) hereby assume the sole responsibility for and agree to indemnify, defend, and save the aforementioned parties
harmless from any and all loss and expense (including legal fees) by reason of the liability imposed by law upon any of the
aforementioned parties for damage because of bodily injuries, including death at any time resulting therefrom, sustained by any person
or persons, including myself (ourselves), or on account of damage to property, arising out of or in consequence of my (our) participation
in this event, however such, injuries, death or property damage may be caused, and whether or not the same may have been caused or
may be alleged to have been caused by negligence of the aforementioned parties or any of their employees or agents, or any other
persons.
Junior Handlers should enter their Junior Handler number on the front of this form. Should you not have your Junior Handler number, it
may be obtained from the American Kennel Club (919) 233-9767. If the Junior Handler is not the owner of the dog identified on the face
of this form, what is the relationship of the Junior Handler to the Owner? _____________________________________________
___________________________________________________________________________________________________
AKC® NAME (INCLUDE AKC TITLES ONLY)
AKC® NO
AGREEMENT
I (we) agree that the club holding this event has the right to refuse entry for cause which the club shall deem sufficient. In consideration
of the acceptance of this entry and of the holding of this event and of the opportunity to have the dog judged and to win prizes, ribbons,
or trophies, I (we) agree to hold the AKC, the event-giving club, their members, directors, governors, officers, agents, superintendents or
event secretary and the owner and/or lessor of the premises and any provider of services that are necessary to hold this event and any
employees or volunteers of the aforementioned parties, and any AKC approved judge, judging at this event, harmless from any claim for
loss or injury which may be alleged to have been caused directly or indirectly to any person or thing by the act of this dog while in or
about the event premises or grounds or near any entrance thereto, and I (we) personally assume all responsibility and liability for any
such claim; and I (we) further agree to hold the aforementioned parties harmless from any claim for loss, injury or damage to this dog.
ENTER JR. HANDLER # if applicable
In Case of Emergency - Name:
Phone #:
AEAGL2 (09/12)
Exhibitor or owner MUST sign on the signature line beneath the instructions.